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Editorial: Trump's abuses of power are worthy of several articles of impeachment. But two are enough
President Trump has been targeted by two proposed articles of impeachment related to Ukraine.
(Jabin Botsford / Washington Post)
By The Times Editorial Board
President Trump's myriad abuses of power could easily provide the basis for several articles of impeachment. But on Tuesday House Democrats unveiled only two, both related to Trump's unconscionable attempt to pressure Ukraine to announce investigations that would benefit him politically.
Even if you think the bill of particulars should be longer — and this page has suggested a possible additional article of impeachment based on Trump's efforts to thwart the investigation of special counsel Robert S. Mueller III — the two that the House has drafted fully justify the grave step of impeachment. In this case, two is enough.
The first article alleges that Trump abused the power of his office when he "solicited the interference of a foreign power, Ukraine, in the 2020 United States presidential election." Specifically, Trump attempted to have Ukraine publicly besmirch former Vice President Joe Biden, a potential rival in the 2020 presidential race, and shore up a conspiracy theory that Ukraine, not Russia, hacked Democratic Party emails during the 2016 presidential campaign.
Moreover, the first article persuasively argues that Trump conditioned "official United States Government acts of significant value to Ukraine" — a White House meeting for Ukrainian President Volodymyr Zelensky and the release of $391 million of congressionally appropriated security aid — on a public announcement by Ukraine of the investigations Trump wanted.
The second article accuses Trump of obstructing Congress by ordering "the unprecedented, categorical and indiscriminate defiance of subpoenas issued by the House of Representatives" pursuant to its power of impeachment.
By emphasizing that the defiance by the White House was "categorical" and "indiscriminate," the drafters of the article have anticipated an argument by Trump's defenders that he has the right to assert privilege to block the testimony of key advisors. The White House has claimed testimonial immunity for former deputy national security advisor Charles M. Kupperman, who asked a federal court to rule on whether he must comply with a House subpoena.
But Trump has gone far beyond asserting executive privilege in narrow cases. Rather, he has refused across the board to cooperate with an investigation that his White House counsel has dismissed as a "purported 'impeachment inquiry'" and a "charade."
It's fortunate that several officials disregarded the White House's warnings not to cooperate and testified in detail to the existence of the corrupt scheme described in the first article of impeachment. But that doesn't excuse the president's obstruction.
No doubt the Democrats confined the articles of impeachment to the Ukraine scandal for political reasons. They fear a Mueller-related article could complicate the reelection prospects of some Democrats in competitive districts by making it easier for Trump to argue that the current impeachment effort is a sequel to what he calls the "Russia hoax." It's also worth remembering that it wasn't until the revelations about Trump's improper approach to Ukraine that some Democrats — including House Speaker Nancy Pelosi (D-San Francisco) — warmed to the idea of an impeachment inquiry.
Still, no one should think that these two articles exhaust the case against Trump, whose contempt for the rule of law and for the norms of governance seem to lead him regularly to the brink of what's acceptable — and beyond.
But with their careful and damning explication of the Ukraine scandal, the articles more than suffice to justify his impeachment.
The Times Editorial Board
The Los Angeles Times' editorial board determines the positions of The Times as an institution. It operates separately from the newsroom. You can read more about the board's mission and its members at About The Times Editorial Board.


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Philadephia, Pennsylvania, U.S.A. • Alexis Lewis/Flickr
Home›Destinations›North America›USA›Pennsylvania›Philadelphia›Things to Do›Best Hotel Bets
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The Best for Kids
Best Hotel Bets in Philadelphia
Best for History: In the heart of Old City, the Thomas Bond House bed and breakfast (ca. 1769) offers a great location, Federal decor, and breakfasts of fresh-squeezed orange juice and homemade muffins. Just like Dolley Madison used to make. Perhaps.
Best for Business Travelers: Hotel Sofitel has a convenient location and rooms that are large and elegant, with easy and reliable online access and a handsome desk that makes you feel less bad about having to work. The delicious French coffee and the French cocktails in the lounge don't hurt, either. The staff is efficient and courteous.
Best for Conventiongoers: A trio of service-oriented Marriotts (including a Courtyard and a Residence Inn) border the now-expanding center, making these vast spots along Market Street between 12th and Broad streets best bets for those meeting attendees who prefer easy room access and a few extra moments of sleeping. (My favorites are the Courtyard and Residence Inn's rooms facing City Hall.)
Best for Romance: The affordable Penn's View Hotel feels like an exquisite club, with views over the Delaware River, in-room whirlpool tubs (in some), and, downstairs, what the New York Times hailed as "the mother of all wine bars."
Best for a Good Night's Sleep: The dream-worthy, five-pillow-topped "Heavenly" sleepers at the Westin still have a lock on this category. (Add in the spalike showers, and you might find it difficult to take leave of your room.)
Best Boutique Hotel: It's a far cry from a trendy Ian Schrager creation, but Rittenhouse 1715, between 17th and 18th streets on Rittenhouse Street, feels boutique-y, in a more Parisian sense. On a quiet side street, with small-to-large traditional rooms, simple croissant-and-coffee breakfasts, and luxe Frette bed linens, guests are quite comfortable staying here a week. Many do.
Best for Families: In Center City, Loews Philadelphia Hotel doesn't have the biggest rooms in town, but it's got a great game closet, fabulous pool, generous pet policy, and concierges trained to please even the pickiest preteen guest.
Best Inexpensive Hotel: The Alexander Inn, 12th and Spruce streets, is an independent, 48-room outfit whose strong suits are its location, simplicity, and value -- usually around $100 per night. Rooms are quite small -- or cozy, depending on your outlook. Request one that faces the corner.
Best Hotel for Historic District Hopping: If you're here to see Independence Park, why not wake up looking at it through the curtains at the Omni Hotel at Independence Park. All 150 guest rooms have views of the Greek Revival Second Bank of the U.S. and a half-dozen of America's Georgian jewels -- and you can hear the clip-clopping of horses with carriages below.
Best Airport Hotel: Standing out from the virtually interchangeable low-rises that surround Philadelphia International is aloft. Starwood's off-price version of their popular W brand is smart and hip, offering 136 spare, modern rooms; a sleek lobby; a cool bar and terrace; along with self-serve kiosks to print out boarding passes. Aloft almost makes flying seem cool and special again.
Frommer's Philadelphia day by day Buy Now

redpajama_set_name: RedPajamaCommonCrawl


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Santa Rosa Wash
Santa Rosa Wash is a stream in Arizona and has an elevation of 1,286 feet. Santa Rosa Wash is situated nearby to Greene Wash, and northeast of Potters Field.
Overview Map Photo Map Satellite Directions
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Localities in the Area
Stanfield is a census-designated place in Pinal County, Arizona, United States. Stanfield is situated 1½ miles southwest of Santa Rosa Wash.
Peters Corner
Peters Corner is a truck stop, bar, and motel complex situated in Pinal County, Arizona, United States, located four miles west of Stanfield. Peters Corner is situated 6 miles west of Santa Rosa Wash.
Type: Stream
Location: Arizona, Southwest, United States, North America
32.8976° or 32° 53' 51.2" north
-111.9463° or 111° 56' 46.5" west
854CV3X3+2F
1,286 feet (392 metres)
Other Places Named Santa Rosa Wash
Santa Rosa GulchValley in Arizona, United States
Kohatk WashStream in Arizona, United States
Quijotoa WashStream in Arizona, United States
Santa Rosa WashStream in Inyo County, California
BonHamlet, 6 miles northeast
BurnsHamlet, 10 miles northeast
Ak ChinHamlet, 12 miles northwest
Potters FieldAerodrome, 2 miles southwest
Carranza Farm AirstripAerodrome, 3½ miles south
Francisco Grande Resort and Golf CourseGolf course, 6 miles east
Francisco GrandePark, 6 miles east
Greene WashStream
Stanfield Sheriff's Office Stanfield Region CBuilding, 1½ miles southwest
Stanfield Volunteer Fire DepartmentFire station, 1½ miles southwest
Indian Assembly of GodChurch, 1½ miles southwest
Little Indian CreekStream in Indiana, United States
Gray RunStream in Indiana, United States
MatequilaStream in Puebla, Mexico
Tortolita CreekStream in New Mexico, United States
Christmas CreekStream in Wisconsin, United States
Goat CreekStream in Montana, United States
Popular Destinations in Arizona
Phoenix Greater Phoenix
Tucson Northern Arizona
One's destination is never a place, but rather a new way of looking at things. - Henry Miller
Escape to a Random Place
MaupitiFrench Polynesia BañosEcuador
DresdenSaxony, Germany MtskhetaGeorgia
About Mapcarta. Thanks to Mapbox for providing amazing maps. Text is available under the CC BY-SA 4.0 license, excluding photos, directions and the map. Photo: Tobi 87, CC BY-SA 3.0.


1. Roskilde Festival is 100% non-profit.
This means that no "sponsors" who want your email address and mobile phone number in exchange for a lighter or raincoat will bother you at the festival. Around 25,000 volunteers work on a voluntary basis to ensure that everything runs smoothly and, above all, in a relaxed manner. The millions of euros in profits that remain every year have been donated since 1972.
2. The journey couldn't be more stress-free.
This is also because we go there by car each year, but you can easily get to Roskilde by public transport as well. Denmark definitely is an over-organised country. Guides are everywhere, all speak English. From Copenhagen it's only about half an hour to Roskilde city. Every train you ask for leaves in about five minutes. In the car there is enough space for you and your backpacks – and free Wifi on top of that. What do you want more?
3. The line-up is astronomical.
The organizers have around eight million euros at their disposal to buy bands. There are almost certainly some of your favourite bands in about 180 acts. But Roskilde is not only counting on big names – there is also a lot to discover. For my review of this year's performance's, check out my other post.
4. The Danish people are perhaps the nicest in the world.
Which is why you don't feel lost among 60,000 people in front of the gigantic Orange Stage. Everybody take care of everybody, everybody let you through. And the binders tirelessly distribute water that is passed all the way to the back.
5. In Roskilde, you'll see shows that are only played here.
Several bands are flying in especially for this festival, even if they are not on tour in Europe at the moment. In 2017, for example, Solange, the legendary 90ies rap crew Digable Planets, indie songwriter Angel Olsen, Jamaican dancehall artist Popcaan and rap producer Clams Casino. And the festival finale on the biggest stage on Saturday was a small sensation: a three-hour and for the first time combined Moderat- & Modeselektor show! We could hardly believe it ourselves – after all, the strict separation of these two projects had been sacred to the Berliners Gernot Bronsert and Sebastian Szary so far.
6. You won't feel like festival, you'll feel like you're on holiday.
Since the festival is located close to the sea, there is always a holiday feeling – when the wind is right, the air smells of salt. In the morning you will be woken up in the tent by seagulls screeching.
7. There is seriously good food, mostly also organic.
Thai Curry, Pizza, Pulled Pork Burger, Chia Porridge, Craft Beer and Flat White Coffee – almost everything of a quality that would also pass for "pretty good" in corresponding restaurants. But don't worry: For those who are no longer satisfied with "Rock'n'Roll", there will also be classical festival food at one or the other stand. Where there's a will, there's a way to the next questionable doner kebab.
8. 08/15 shows are the exception here.
9. Good is done with your money – also in Germany.
Roskilde Festival, which is – one cannot say it often enough – non-profit, donates primarily to aid, integration and animal welfare organisations. Cultural projects are also supported. In the past, for example, the Refugee Council of Schleswig-Holstein and the Pudel Club in Hamburg, which was threatened with closure but has since been saved.
10. Coming back to Roskilde always feels like home.
To entertain around 130,000 people for over eight days and to offer more than just a few bands and beer stands is a huge task – one that the organizers of Roskilde Festival in Denmark face every year. They themselves do not advertise with the mere festival experience, but speak of a week full of "freedom and togetherness". I remember the first time I visited Roskilde festival as clearly as if it was yesterday. 2014 we experienced "The Orange Feeling" ourselves. And it is this special atmosphere which can be felt everywhere around the huge site in Roskilde, which mutates into Denmark's fourth largest city during the festival period. Even on the screens after concerts there is nothing like advertising and instructions, but more of a motto: "Take care of each other".
Thank you so much!! I am Danish and I just found your blog, I was surprised you knew (and visited) Roskilde :) Happy to see that my country is so approved!


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Drahoš and ex-hockey star Hašek show early interest in running for presidency
https://english.radio.cz/drahos-and-ex-hockey-star-hasek-show-early-interest-running-presidency-8124741#player=on
Jiří Drahoš, photo: Khalil Baalbaki / Czech Radio
President Miloš Zeman is due to remain in office until early 2023. But that hasn't stopped names of possible successors already appearing in the media. Mr. Zeman's defeated opponent in last year's runoff, Jiří Drahoš, says a second run is "definitely in play", while ex-sports star Dominik Hašek has also signalled his interest.
When Miloš Zeman was re-elected Czech head of state in January 2018, he received 51.4 percent of the vote in the second round runoff, compared to 48.6 percent for Jiří Drahoš.
Mr. Drahoš, a former head of the Czech Academy of Sciences, received the backing of 2.7 million voters.
He later won a seat in the Czech Senate as an independent.
Earlier this year Mr. Drahoš, who is now 70, was cagey about the possibility he might take a second run at the presidency, saying he was not focusing on what would be four years down the line.
Though the next elections for head of state are still three and a half years away, Mr. Drahoš has evidently changed his tune somewhat.
In an interview published by Deník.cz on Saturday, he said his candidacy was "definitely in play".
Mr. Drahoš told the news organisation that one reason for this was that he was fielding ever more questions at demonstrations and debates about whether he would stand again next time.
The timing of this statement may not be coincidental. Just a day earlier ex-ice hockey star Dominik Hašek surprised many by saying in a radio interview that he would not rule out running to succeed Mr. Zeman.
Once nicknamed "the Dominator" for his goaltending prowess, Mr. Hašek responded to a question about his potential candidature by saying "why not? I could somehow imagine it".
Though not previously known for political pronouncements, Dominik Hašek did appear at a major demonstration against Prime Minister Babiš in May.
Dominik Hašek, photo: Šárka Ševčíková / Czech Radio
He is extremely well-known in the Czech Republic, having won two Stanley Cups and a host of individual honours in the NHL, as well as starring in the Czech team that won the Olympics in 1998. Indeed after Nagano chants of "Hašek for President" were heard in Prague.
While discussing their possible candidatures, both "the Dominator" and Mr. Drahoš added the caveat that it was too early to make pronouncements about what they would be doing in a few years' time.
They are not the only names floating around. Pavel Fischer, who came third in the first round in 2018, has already announced that he will run in 2023.
Two-time president Václav Klaus, who is 78, said in January that the field should be left to younger candidates, though he added that running again was a possibility.
Some speculate that his son Václav Klaus Jr. – who has a new party, Tricolour – may have his eye on Prague Castle.
Author: Ian Willoughby
Poll: Most Czechs back change to single-day voting
The ideal Czech president? Experienced, assertive but diplomatic, and non-partisan
"I was here the whole time in '68": Radio's role during invasion recalled at ceremony
Jágr: Czechs among favourites for ice hockey gold in Pyeongchang


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This style is called Kanzashi, you need any colour ribbon cut in strips. And then to make a petals, and then you doing a flower from all the ribbons you have. And in the end you have a beautiful brooch.


A mountain bike flow trail is being constructed every 7 ½ minutes in the United States. When built well, these trails are incredibly to ride and add incredible value to a trail system or bike park. But what happens when there are design oversights or construction flaws? What happens after that 100-year, every-year rain storm? What happens after 3 years of trail riders?
What happens is that the Chi of the trall softens- it doesn't provide that same life ride-enhancing, flowing experience or maybe it doesn't provide an experience at all because it's been abandoned. In any case the value and quality of your trail system or bike park has diminished, and it is happening on flow trails the world over.
The Chi of Flow Trails require knowledge and practice. Engage with a leader in the industry to mindfully, yet with intent, put the focus of the trail back on the roller into the berm. After this session, you will hop away a grasshopper that has the knowledge to focus on the longevity of flow.
Understand the concept of an all-levels flow trail.
Identify the root causes and effects of flow trail degradation.
Utilize minimum resource impacts to plan and perform lasting maintenance.
Day 1: Field Classroom and Field Work: as a small group, we will walk and assess an existing trail for maintenance needs. Then we will work together to accomplish the maintenance as we learn and collaborate through the day.
Gear (clothing, footwear, water, food, sunscreen) to spend the day in the desert- it may be searing or snowing . Though your maintenance techniques will be made in the shade after you attend this conference, there is not much shade in the desert.
Chi Master James Flatten joined the Singletrack Trails crew in 2007. As the Chief Trail Supervisor, he is now responsible to ensure that projects are completed on time and exceed expectations. His career as a dirt shaper was packed into prominence as the Lead Course Designer and Chief Builder for the Ranchstyle Mountain Bike Festival near Grand Junction, Colorado. Under James' tutelage and sculpting, the event became a Silver Level Freeride Mountain Bike Tour event in 2010. Building competition courses for the 1% of mountain bikers and extrapolating that knowledge to build dirt jumps, pump tracks, and flow trails for the 95% is James' special talent. He has been adding the "free" to freeride trails since 2002, and when he is the master dirt shaper, everyone's Chi is enhanced.


This blog provides free general information for anyone who is seeking to understand more about the complications of laparoscopic sleeve gastrectomy, not intended as a medical consult. Please seek proper medical advice for individual assessment and management.
This operation is not new because variations of the sleeve gastrectomy have been performed in the past. However not until recently, it has been done as a stand alone bariatric surgical procedure with proven good weight loss result and resolution of medical co-morbidities in the medium term.
The surgery is technically more simple compared to the gastric bypass and it has a lower risk profile.
The sleeve gastrectomy offers a restrictive effect (to prevent over eating) and produces beneficial hind gut hormone changes as well (for post prandial satiety and incretin effect).
Sleeve gastrectomy has promising short and medium term weight loss results with resolution of obesity related medical co-morbidities, the result is comparable with gastric bypass.
Sleeve gastrectomy has sustainable beneficial effect on glycemic control (may delay or prevent microvascular end organ complications from Type 2 diabetes mellitus), control for cardiovascular risk factors and is effective in reducing morbidity and premature mortality.
The surgery is low maintenance (compared to the gastric band) and lacks the undesirable malabsorption side effects of a long limb gastric bypass or BPD-DS procedure.
Intially sleeve gastrectomy was performed as an open procedure in 1988, known as the Hess and Marceau operation, which is actually the first stage of the bilio-pancreatic diversion-duodenal switch (BPD-DS).
In 1993 it was proposed as a single weight loss procedure described by Johnston, which later became known as the Magenstrasse and Mill operation.
In 1999 Gagner was the first to describe the laparoscopic sleeve gastrectomy technique.
Since 2003 it has gained popularity as a one stage (stand alone) definitive surgical treatment for morbid obesity and related co-morbidities, with reported up to 60% excess weight loss result (after 5 years follow up results) and good resolution of Type 2 diabetes mellitus, comparable to Roux Y gastric bypass.
Patients may take comfort in knowing that the sleeve gastrectomy has been performed for several decades but like any operation, there are post operative complications (both general and specific to the sleeve) that need to be discussed.
After general anaesthetic and gastric volume reduction surgery, post op nausea and vomiting may occur in the first 24-48 hours.
The diameter of the remnant sleeved stomach definitely plays a role in the patient's tolerance of post op oral fluid intake.
Most patients can only sip small quantities of water or fluids in the first 2 weeks (eg. 30-60mls/hour to start with in the first 2 days).
The thinner the sleeve, the smaller the intrinsic stomach volume, the greater the weight loss (in the long term) but also the greater the risk for staple line leak and post op nausea/vomiting (in the short term).
Type 1 (faster gastric transit <30minutes) (lax sleeve) are those who are more likely to tolerate oral fluids or food better immediately post op, achieve weight stabilization in 6 months but also has more propensity for the stomach remnant to stretch with poorer weight loss results in the longer term.
Type 2 (slower gastric transit >30 minutes) (tighter sleeve) are those who are more likely to experience more nausea side effects early on after surgery but have better weight loss results in the longer term (patients are more likely to continue to lose weight after 6 months and maintain the weight loss beyond 3 years).
Large volume eaters and patients with binge eating are more likely to benefit from a tighter sleeve than a lax sleeve.
Deep venous thrombosis (DVT) is blood clot in the legs and pulmonary embolus (PE) is blood clots in the lungs. These two complications are a major cause of morbidity and mortality after any general or bariatric surgery.
In the absence of thrombo-prophylaxis, DVT is estimated to occur in more than 20% of patients undergoing bariatric surgery and post op PE can occur in 25% of patients.
The risk for DVT and PE continues for up to 3 months but most tend to occur within the first 30 days after bariatric surgery.
With an active thrombo-prophylactic plan the risk of venous thrombo-embolism is estimated to be less than 1%.
Low molecular weight heparin (LMWH) subcutaneous injection which is first given on the day of surgery and continue for the duration of the hospital stay.
Graduated compression stockings (TED) are worn by patients when they are admitted to hospital and may be worn for 2 weeks (or more) after discharge.
Intermittent sequential pneumatic calf compression device (SCD) are utilized in theatre when the surgery begins and may be continue in the wards for 1-2 days.
Early mobilization and return to pre op baseline activity level immediately after surgery is encouraged.
Prevention of dehydration also helps reduce blood clots.
LMWH that is given is usually enoxaparin (Clexane or Lovenox) as subcutaneous injection once a day. The medication doses for bariatric surgery patients are often higher than normal weight patients.
Enoxaparin 40mg (for BMI<60), 50mg (for BMI 60-70) or 60mg (for BMI>70).
Enoxaparin 20mg (is the dose required for those with kidney disorder, eGFR<30ml/min regardless of body weight).
Very high risk patient may require LMWH injection continued for 2 weeks post op.
*Note: in contrast The Australian and New Zealand Working Party on Management and Prevention of VTE (4th Edition) only recommends only 20mg enoxaparin for major non cancer surgeries for those over 40 years of age.
Bleeding may occur anywhere along the staple line, usually in the first few days whilst the patients are still in hospital and often managed conservatively.
Rarely blood transfusions are given if the blood loss is significant.
In the surgical literature the risk of staple line leak has been reported to be from 0-10%.
Leakage is the most commonly discussed post op complication during the consultation, to raise awareness of the seriousness of the consequence of a leak.
The highest risk group are amongst male, age over 55 years, BMI>50 and for revisional bariatric surgeries.
Leakage may occur in the acute post op period (within 2 weeks), early (in the first 2-3 months) or late (after 12 weeks) phase.
Leakage may be a result of staple malfunction, technical errors, thermal injury, gastric ischemia or from distal obstruction (narrowing or kink around the incisura).
Management of staple line leak may be difficult, may involved multiple return to theatres and prolonged stay in hospital.
Late stricture rate has been reported to occur around 0.5%.
Heartburn symptoms are common in obese patients, which may be a pre-existing problem attributed to a raised intra abdominal pressure and the concurrent presence of a hiatus hernia.
Hence most experts recommend repair of a hiatus hernia at the same time as the sleeve gastrectomy, if this is seen at the time of surgery.
Early post op heartburn symptoms for most sleeved patients are transient and can be managed with oral medications (eg. Nexium).
Heartburn is probably the most common complaint after LSG in the long term.
Careful re-assessment of the patient is needed to exclude a hiatus hernia or gastric stricture (distal staple line stenosis), where further surgery may be needed.
Dumping syndromes are more common with gastric bypass than sleeve gastrectomy.
Initially it may have the desirable effects on "sweet" food avoidance but in the longer term reactive hypoglycaemia may worsen maladaptive eating behaviour (grazing behaviour and increase total calorie intake).
Weight regain have been attributed to dumping syndrome, rapid intestinal transit and over stimulation caused by increased release of distal gut hormones.
Nutritional deficiencies are common after malabsorptive operation (such as the gastric bypass, bilio-pancreatic diversions or duodenal switch) and typically refer to iron, folate, calcium, vitamin D and vitamin B deficiencies.
The average adult body contains 3-4g of iron (adult man have 1g iron in stores and women 300mg) and measured serum ferritin levels (in non inflamed states) correlate with body iron stores.
Iron is mainly absorbed in the duodenum and transported to the bone marrow for red cell production or being stored.
Most of the body's iron is for red blood cell production, the rest for the reticulo-endothelial system and liver parenchymal cells.
Iron is normally lost with shedding of epithelial cells or menstrual blood loss (average 1-2mg/day) and needs to be replaced by dietary iron (with smaller replacement or contribution from body iron stores).
If large portion of iron is needed for red blood cell production then reduced a dietary iron or absorption will inevitably lead to iron deficiency anaemia.
Thus iron deficiency anaemia is more common in younger females of reproductive age (especially with heavy menstrual periods).
Iron deficiency may increase over time as body stores of iron are diminished.
Reduced dietary sources rich in iron (ie. inadequate red meat in the diet).
Reduced gastric acid secretion (that is necessary for reduction of ferric iron to ferrous iron which is then absorbed).
In gastric bypass the proximal intestinal absorption (from the excluded duodenum and proximal jejunum) is lost.
Normally after gastric bypass patients are prescribed ferrous sulphate tablets, current recommendation is 40-65mg/day (2-5 times the amount of elemental iron found in a common multivitamin tablet).
Some patients take ferrous sulphate (325mg) 3 times a day but nausea and constipation side effects are common.
In rare circumstance intravenous iron dextran infusion may be required and needs to be given in hospital (ie. to replenish the depleted body iron stores).
B12 absorption requires hydrochloric acid and intrinsic factor (from gastric mucosa) for absorption in the terminal ileum.
After surgery patients are recommended to increase red meat intake (a good source of folic acid and vitamin B12).
Deficiency usually result from reduced oral intake.
Weight loss is often associated with reduced intake or absorption of calcium and vitamin D.
Caloric restriction, reduced oral intake of dairy foods and vitamin D combined with lack of routine exercise may result in raised parathyroid hormone (secondary hyperparathyrodism), increased bone resorption and eventually osteoporosis.
Deficiency may result in skeletal muscle myopathy, cardiomyopathy, muscle wasting, arrhythmia, reduced immunity and reduced thyroid function.
Other possibilities include loss of skin and hair pigment, white nail beds and progressive encephalopathy.
Absorption of selenium may be enhanced by anti-oxidants like vitamin C and E.
Dietary oxalate are commonly found in chocolate, tea and vegetables.
This is usually precipitated as calcium oxalate in the intestine and eliminated in the stools without being absorbed.
In bile salt malabsorption or short gut syndrome the long chain fatty acids compete with oxalate to bind to calcium.
Fat malabsorption results in saponification, formation of calcium soaps and free unbound oxalates.
When larger amounts of free unbound oxalate reach the colon, they are absorbed and excreted in the urine (hyperoxaluria) which puts the patients at risk for kidney oxalate stones (a condition known as enteric fat malabsorption and enteric hyperoxaluria).
Free bile salts also alters the permeability of intestinal epithelial barriers (which then favours oxalate absorption).
There is also a change in intestinal flora, Oxalobacter formigenes (a commensal anaerobic bacteria in the intestine) that normally metabolize oxalic acid.
A lack of colonization with O. formigenes have been associated with increased dietary oxalate absorption, increased urine oxalate levels and calcium oxalate stones.
Post operatively hence there is increased urinary oxalates (hyperoxaluria), low urine citrate (hypocitraturia), reduced urine volume and increased calcium oxalate supersaturation resulting in the formation of oxalate stones.
This condition is commonly treated by dietary restriction of oxalate rich food, increase oral fluid intake or oral calcium citrate tablets (a potent inhibitor of urinary crystallisation).
After surgery patients are often prescribed plenty of water and calcium citrate supplements (eg. 500mg in 3 doses, 1500mg/day) because calcium citrate has better absorption than calcium carbonate, helps prevent secondary hyperparathyroidism (less bone resorption) and binds to intestinal oxalates (less instestinal oxalate absorption and urinary secretion).
With bile salt malabsorption or alteration in the entero-hepatic circulation, there is also alteration in the cholesterol and bile salt balance in the liver or gall bladder resulting in gallstones formation.
Reduce consumption of protein foods.
Reduced gastric capacity, rapid transit, reduced digestive enzymes and malabsorption .
It is recommended that patients have at least 50-60g of protein a day to prevent lean body muscle mass loss and in the first few weeks this may be in the form of protein fluid shakes (e.g.. Optifast).
Diarrhoea, steatorrhoea (fatty stools) and fat soluble vitamin (A, D, E, K) deficiencies.
Cholesterol gallstone formation (altered hepato-enteric circulation and reduced hepato-enteric bile acid secretion result in cholesterol supersaturation).
Lactic acidosis (carbohydrate meals leads to excess short chain fatty acid to colon which lowers colonic pH levels and increase Gram positive anerobes which produce lactate, humans lack lactate dehydrogenase and it is absorbed into the circulation.
Most of the excess weight loss (EWL) occurs in the first 6 to 12 months after bariatric surgery.
Successful weight loss in the long term is defined as someone achieving greater than 50% EWL.
Interventional or operative weight loss failure has been defined as someone who only managed to achieve less than 25% EWL (a conservative definition) or less than 50% EWL (a more practical definition) in the long term.
There is a propensity for weight regain 2 to 3 years after surgery regardless of the what type of bariatric surgery performed (gastric band, sleeve or bypass).
Operative or technical problems (remnant gastric pouch dilatation and loss of restriction resulting in increasing meal size) (ie. issue with meal portion).
Compliance problems (poor adherence to dietary guidelines, return to high calorie, high GI index carbs and fatty food and lack of physical activity) (ie. issue with meal choices and sedentary behaviour).
Behavioural problems (after a honeymoon period there is a relapse of eating disorder).
Hormonal problems (lack of distal gut hormone post prandial satiety effect or grazing behaviour which may be an adaptive response to reactive hypoglycaemia or dumping syndrome) (ie. issue with dietary habits).
Drug or alcohol dependence (ie. previously undiagnosed pre-existent or new post op psychological issues).
Inadequate weight loss (<25-30% EWL) at 6 months may predict inadequate weight loss result or failure after 24 months.
Early dietary intervention and a physical training program will assist this group to restore weight loss.
Those losing >45% EWL at 6 months more likely to continue to lose weight up to 24 months and remain in the successful (>50% EWL) group.
Body contour deformities occurs due to skin excess and residual adiposities which often causes annoying problems such as hygiene issues, intertrigo, skin maceration as well as being a mechanical limitation to physical activities.
Cosmetic surgical correction may be needed.
If you have a current apple iPhone or Samsung smart phone, you can monitor your progress via Apple's Health app or Samsung's S Health app.


Well, it is music to my ears anytime The Paycheck Chronicles gets noticed elsewhere on the internet, and it has been a banner week. So far, our articles have been included in four blog carnivals.
The Carnival of Everything Money, hosted by The Penny Daily, includes Store Brand Groceries.
The Carnival of Personal Finance, hosted by Four Pillars, selected my article on the economic stimulus package: What's In It For Me?
The Festival of Frugality, hosted by MoneyNing, chose Understanding Your Social Security Statement.
The Carnival of Debt Reduction, hosted by M is for Money, picked No More ATM Fees.
Single Guy Money has a friend who says: "I Don't Make Enough to Save Money." That might sort of seem like a reasonable statement, until you read the whole story.
Save Few Bucks explains 10 Tips to Reduce Car Expenses. For many of us, our car expenses are the largest part of our budget. Maybe one (or more) of these tips will help!
True Adventures in Money Hacking explains how the Save Big-Shopping Secret: how to combine store promotions with manufacturer's coupons and sale prices to slash your grocery bills.
Not listed in any of these blog carnivals is my favorite article this week: 10 Reasons Why Budgets Fail by Fiscal Fizzle (that name just cracks me up!). This article is so accurate, and I've fallen into several of these categories at different points in my life. Right now, my excuse is: my budget takes too much time.


State of Play is a 2009 BritishFrenchAmerican political thriller film. It is an adaptation of the sixpart British television serial of the same name which first aired on BBC One in 2003. The plot of the sixhour serial was condensed to fit a twohour film format, with the location changed to Washington, D.C. The film was directed by Kevin Macdonald from a screenplay written by Matthew Michael Carnahan, Tony Gilroy, Peter Morgan and Billy Ray.


Fig. 4. NQR spectroscopy of a h-BN monolayer and bilayer*. [Reprinted with permission from AAAS ©2017].
Two-dimensional (2D) materials offer a promising platform for exploring condensed matter phenomena and developing technological applications. However, the reduction of material dimensions to the atomic scale poses a challenge for traditional measurement and interfacing techniques that typically couple to macroscopic observables. A collaborative Report in Science by members of the Park, Lukin, Kaxiras, and Kim groups demonstrate a method for probing the properties of 2D materials via nanometer-scale nuclear quadrupole resonance (NQR) spectroscopy using individual atom-like impurities in diamond. Coherent manipulation of shallow nitrogen-vacancy (NV) color centers enables the probing of nanoscale ensembles down to ~30 nuclear spins in atomically thin hexagonal boron nitride (h-BN). The characterization of low-dimensional nanoscale materials could enable the development of new quantum hybrid systems, combining atom-like systems coherently coupled with individual atoms in 2D materials.
*See I. Lovchinsky, J.D. Sanchez-Yamagishi, E.K. Urbach, S. Choi, S. Fang, T.I. Andersen, K. Watanabe, T. Taniguchi, A. Bylinskii, E. Kaxiras, P. Kim, H. Park, M.D. Lukin, "Magnetic resonance spectroscopy of an atomically thin material using a single-spin qubit," Science 2017 | DOI: 10.1126/science.aal2538.


text:
Q: angular Way of: show or hide element after button click I am pretty new to angular and i cant get it right.
inside the following example i am trying to show the answer to a question after the user clicks on the corresponding button.
before the answer is shown i want to run a function that checks if the user has the privilege to reveal the answer. in the example i assume he has the rights.
what i have to do to to remove the "ng-hide" class in the row where the button was clicked.
i appreciate any kind of help.
thanks in advance

var myApp = angular.module('myApp', []);
myApp.controller('QuestionCtlr', ['$scope', '$log', function($scope, $log) {
    $scope.questions = [
        ["what is 1+1?"],
        ["what color of the sky"],
        ["what is the answer to the universe"]
    ];
    $scope.answers = [
        2, ["blue, black or orange"],
        40
    ];

    $scope.hideme = function(i) {
        $log.log("element " + i + " was cicked");

        //this will be detemined within a fct, so lets asume the has the according rights
        var userPrivilege = true;

        if (userPrivilege) {
            //HOW TO: show the answer with the index i
        }
    }
}]);
<!DOCTYPE html>

    <meta charset="UTF-8">

    <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.5/css/bootstrap.min.css" />

                Question
                Answer

                {{q[0]}}
                {{q[0]}}

                    <button type="button" ng-click="hideme($index)" class="btn btn-default">show me</button>

A: Here's a complete working example.
Things I changed:

*

*The answers are now stored as a property of each question. This makes the code neater (no need to track by $index).

*The ng-show directive is used as an attribute instead of a class, and is bound to a showAnswers property of the question.

*The showme function sets the showAnswers property to true when you click the button.

var myApp = angular.module('myApp', []);
myApp.controller('QuestionCtlr', ['$scope', '$log', function($scope, $log) {
    $scope.questions = [
        {question: "what is 1+1?", answers: [2]},
        {question: "what color of the sky", answers: ["blue", "black", "orange"]},
        {question: "what is the answer to the universe", answers: [42]}
    ];

    $scope.showme = function(q) {
        $log.log("question " + q.question + " was cicked");

       var userPrivilege = true;

        if (userPrivilege) {
            q.showAnswers = true;
        }
    }
}]);
<!DOCTYPE html>

    <meta charset="UTF-8">

    <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.5/css/bootstrap.min.css" />

                Question
                Answer

                {{q.question}}

{{a}}

                    <button type="button" ng-click="showme(q)" class="btn btn-default">show me</button>

A: Try in html

                Question
                Answer

                {{q[0]}}
                {{answers[$index]}}

                    <button type="button" ng-click="hideme($index)" class="btn btn-default">show me</button>

angular
var myApp = angular.module('myApp', []);
myApp.controller('QuestionCtlr', ['$scope', '$log', function($scope, $log) {
    $scope.questions = [
        ["what is 1+1?"],
        ["what color of the sky"],
        ["what is the answer to the universe"]
    ];
    $scope.answers = [
        2, ["blue, black or orange"],
        40
    ];
    $scope.active = null;
    $scope.hideme = function(i) {
        $scope.active = i;
    }
}]);

Fiddle

A: Okay first of all you can use
ng-if="condition"   //gets only rendered if condition is true
ng-show="condition" //shows when condition is true
ng-hide="condition" //hides when condition is true

So on your button
ng-click="showAnswer()"

In your Controller
$scope.displayAnswer = false;
$scope.showAnswer = function(){
  if(hasRights == true){
      $scope.displayAnswer = true //this is used for the hide and show
   }
}

In your html 3 possible ways
This is the answer!!!

This is the answer!!!

This is the answer!!!

<button ng-click="showAnswer()">This is the answer!!!

2nd Solution with toggle
if you want to hide the Answer again on the same button
This shows and hides the button depending if its currently shown or hidden
$scope.toggleAnswer = function(displayAnswer){
  if(hasRights == true && $scope.displayAnswer == false){
      $scope.displayAnswer = true //this is used for the hide and show
   }else if($scope.displayAnswer == true){
      $scope.displayAnswer = false;
   }
}

2nd Html
This is the answer!!!
<button ng-click="toggleAnswer(displayAnswer)">This is the answer!!!

In your case
<button ng-click="toggleAnswer($index)">Hide / Show</button>

And In your Controller
  $scope.answers = [{A: 2, show: false},{A: 'blue', show: false}]
 $scope.toggleAnswer = function(index){
  if(hasRights == true){
      $scope.answers[index].show = true //this is used for the hide and show
   }
}

in HTML
The Answer !!
//the item is coming from item in Answers from the ng-repeat

A: Taking your 'privilege' request in consideration, I think you will want to create a condition. Instead of adding the class ng-hide, use ng-hide, ng-show or ng-if like this:

and your button:
<button type="button" ng-click="hideme($index)">

This will show the td if both statements are true. If one or both of them are false, it won't show the element.
then in your controller:
$scope.hideme = function(index) {
    $scope.hasPrivilege = getPrivilege();
    $scope.show[index] = true;
}

the getPrivilege() function should return true or false based on whether the user has the privilege.

redpajama_set_name: RedPajamaStackExchange


Nick Park's latest Wallace and Gromit short film, "A Matter of Loaf and Death," was the grand prize winner at the New York International Children's Film Festival, which concluded Sunday.
The Special Jury Award went to Samir Guesmi's "It's Sunday."
Sarah Cox's "Don't Let It All Unravel" took home the HSBC Environmental Film Award.


As followers of the Healy Facebook page know, in October, the Zoning and Planning Committee for the Lowry Hill East Neighborhood Association (LHENA) met to look at a proposal by the Lander Group to redevelop a site on the northwest corner of Colfax Avenue and 24th Street in the Wedge. The proposal, presented by Peter Keely of Collage Architects, called to wreck two extant houses, 2316 and 2320 Colfax, and erect a five-story, 48-unit apartment building. While emphasizing the "green" aspects of the proposed building, Keely also repeatedly stressed that it was considerably smaller than R-6 zoning allows.
After Keely's presentation, the large group in attendance spoke of their concerns. Comments ranged from outrage at the size of the project to arguments in support of it from the man who owns the two houses, Michael Crow. The majority of the response was decidedly negative. At the end of the discussion, Steve Benson, chair of the 2004 LHENA Zoning Task Force. spoke eloquently of the need to secure the livability of the neighborhood by preserving the extant houses. Keely, after saying earlier that the proposal was the only "economically feasible" one for Lander, agreed to come back with another one at the November meeting.
What has all this to do with Healy? The Orth House at 2320, currently a 17-unit rooming house, was designed and built by Healy. According to Michael Crow, the original architectural features are gone, and it would be no loss to wreck it. The architect reported that City Planning agrees, saying that it has "no historical value." Well, if the house really is as torn up as they contend, I wonder who's responsible. Could it be Crow, who has run the place as a rooming house for the 21 years he's owned it?
I will return to the historical and architectural importance of 2320 in another post, but now I'd like to focus on zoning issues and how they relate to preservation. I know, zoning is one of those topics that put people to sleep. But before you start dozing off, please try to keep awake long enough to learn the background of zoning in the Wedge.
In 1963 the City upzoned much of Minneapolis, including the Wedge, to high density R-6 zoning. These were the postwar days when much of old Minneapolis fell to the wrecking ball (the Metropolitan Building, for example). When the Wedge was upzoned, the houses started to come down by the scores, replaced by two-and-a-half story walkup apartment buildings. The City made the north-south streets into "paired commuter one-way corridors", that is, racetracks for suburbanites to speed through the scary inner city.
In 1970, a group of Wedge residents banded together to form LHENA for the purpose of cleaning up and stabilizing the neighborhood. They picked up trash, they fought slumlords, they put unruly tenants on notice, they started "The Wedge" neighborhood newspaper. Their main goals, however, were to better control traffic flow and to downzone the Wedge to a lower density designation.
Minneapolis's first co-op market, the Wedge, was founded in 1974.
Amazingly, LHENA partially succeeded in meeting these goals by getting rid of the north-south one-ways and by downzoning the inner core of the area south of 24th Street to R-2B. North of 24th Street, however, R-6 zoning remains in place for all of the existing houses. In 2004 LHENA's Zoning Task Force submitted a detailed plan to the City, arguing why downzoning the Wedge apex is essential for retaining the unique character and livability of the neighborhood. The City (figuratively) threw the study into the wastebasket. Apparently the City is quite happy with R-6 in the apex and is looking forward to cramming into it as many units as possible.
On November 14th, Peter Keely returned to the LHENA Zoning and Planning Committee with a new plan for the 2316-20 redevelopment. The revised proposal, it turns out, requires no variances from the City to build. Big surprise, eh? The fact is that as long as R-6 zoning is in place, developers can build pretty much whatever they want, without the blessing of the community. Presenting this plan to the zoning committee is simply window-dressing for Lander. At the second meeting, the focus was on hearing and commenting on the proposal. Anders Christensen was allowed to speak briefly on the historical significance of the houses. A man who identified himself as a supporter of Michael Crow claimed that the Minnesota Historical Society says that 2320 has no historical importance (more on this in next post), and the committee's attention returned to issues such as parking, the placement of garbage cans, the wonders of brownstone, etc. "Progress" marched on.
Returning soon to the Wedge?
The most alarming aspect of this seemingly benign proposal is that it signals a return to the Bad Olde Days of house demolition, with the attendant fallout of displaced tenants. After nearly four decades of stability, the residents of Lowry Hill East–and those at City Hall–must decide if they really want to see the apex of the Wedge turned into a nondescript Midwestern version of the Bronx, indistinguishable from other redeveloped urban areas–or if they want to retain the distinctive charm of the existing blend of houses and smaller apartment buildings.
The reality is that with R-6 zoning, developments like this cannot be stopped via the mechanism of City government. But that is not to say they can't be stopped. Lowry Hill East's nickname "The Wedge" came about not only to reflect the shape of the neighborhood, but the direction of its political thrust.
If and when these two houses fall, others will inexorably come down, too. It would be the end of the Wedge as we know it. Preservationists, those who love the Wedge and its houses, it's time to stand up and be counted.
Next: The architectural and historical importance of Healy houses in the Wedge.


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a weekly rhythm section with professional musicians.
Class sizes are limited to 5 students per two-hour classes. The time for larger or smaller classes is pro-rated according to enrollment. Drummers need only bring sticks, and bass and guitarists only their instruments. It is recommended that all students bring a personal metronome, headphones, and a recording device.
Summer music program classes range from one to four weeks. A deposit is required to hold your space, and the tuition balance is due on the first day of class.
Learn more about our individual divisions.


Enjoying what you do is on the road to happiness! Enjoying everything you do, in every sense, is the road itself!
We Were Like Frogs Dying in Water Boiling – That's How Trump Won!
Magnificat anima mea, BuxWV Anh. 1 I am a Flower of Sharon and a Rose in the Valley My hope that these will work are not high.
Trump: "US Should Expand Nuclear Capacity" – More Like This Could Save Our Very Lives!
Why did students who had everything: looks, fine grades, popularity, social acceptance, leadership in school society, most any girl, have to torture those who had the least?
How will Dishonorable Evangelicals Respond if Kavanaugh is Approved?
The Key to Trump Chanukah Slurring and Much, if Not All, and Possibly All, Else!


text:
COCO PERU
Saturday, October 26 - 8 PM
Palm Springs Cultural Center, Palm Springs, CA
Coco loves to reminisce. In fact, she's very good at it. In Have You Heard? Coco performs some of her favorite monologues and songs spanning her long career, as well as some new stuff too. Whether you've heard all of these stories, or if you're a Coco virgin, come see why Lily Tomlin called Coco "one of the last great storytellers." Experience the trailblazing Queen who elevated drag whilst still wearing sensible heels.
An Outlandish Palm Springs performance.
Storyteller/monologist Miss Coco Peru aka Clinton Leupp got his/her start as a downtown favorite in the cabaret world of NY after he wrote, produced, directed, and starred in his first show "Miss Coco Peru in My Goddamn Cabaret" over 20 years ago.
On screen, Miss Coco is best known for her roles in Jim Fall's feature film, trick (Sundance 1999) and Richard Day's Girls Will Be Girls. (Sundance 2002) For this film Coco shared the Best Actress Award with his two co-stars at the HBO Comedy Arts Festival in Aspen as well as the Best Actor Award at LA's Outfest Film Festival. Other film appearances include To Wong Foo, Thanks for Everything, Julie Newmar, Nick and Jane, and Straight-Jacket. Coco can be heard in the Disney animated feature, The Wild as Mamma Hippo! She also appears in the highly-ish anticipated sequel of Girls Will Be Girls which will be released some day, hopefully.
Coco's live one-person shows include: "Miss Coco Peru in My Goddamn Cabaret", "Miss Coco Peru: A Legend in Progress" ('92 MAC and Bistro Award), "Miss Coco Peru at the Westbeth Theatre" ('95 MAC Nomination), "Miss Coco Peru's Liquid Universe"('98 GLAAD Nomination), "Miss Coco Peru's Universe" ('99 LA GLAAD Nomination), "Miss Coco Peru's Glorious Wounds…She's Damaged" ('01 LA GLAAD Nomination) "Miss Coco Peru is Undaunted" ('04 GLAAD Award Winner, Ovation Nomination), and the hugely successful "UGLY COCO", "THERE COMES A TIME", "SHE'S GOT BALLS" , "A GENTLE REMINDER: Coco's Guide to a Somewhat Happy Life", and her current show "The Taming Of The Tension" These shows have been performed to sold out audiences in Theatres, Clubs, Restaurants, Ballrooms and Cabarets throughout the US and abroad. She currently has dates scheduled nationwide through 2017.
Coco hosts an on-going live series of shows at the Renberg Theater in Los Angeles called Conversations With Coco in which Coco interviews and celebrates the lives and careers of the LGBT community's favorite icons. Miss Peru's guests include Liza Minnelli, Jane Fonda, Bea Arthur, Lily Tomlin, Karen Black, Lainie Kazan, Lesley Ann Warren, and drag legend Mr. Charles Busch. After a very successful Kickstarter campaign, a television pilot of Conversations with Coco was recently taped with her guest, Lily Tomlin and is currently being shopped around to networks.
She has been honored to be involved with countless Gay and AIDS related charities over the years including The Trevor Project, Aid for AIDS, and Lifeworks Mentoring. In fact, the list is so long, the Los Angeles Gay and Lesbian Center honored Coco with the Board of Director's Award. The award was presented to Coco by Zachary Quinto (Star Trek, Heroes, So NoTorious).
© 2019 by Matt Farber Enterprises


text:
Psychedelic drug shows antianxiety, antidepressant effects years later in cancer patients
Steve Buissinne/Pixabay
A one-time, single-dose treatment of psilocybin, a compound found in psychedelic mushrooms, combined with psychotherapy appears to be associated with significant improvements in emotional and existential distress in cancer patients, according to a new study published in the Journal of Psychopharmacology. These effects persisted nearly five years after the drug was administered.
In 2016, researchers from the New York University (NYU) Grossman School of Medicine published a study that found psilocybin produced immediate, substantial, and sustained improvements in anxiety and depression and led to decreases in cancer-related demoralization and hopelessness, improved spiritual wellbeing, and increased quality of life. At the final 6.5-month follow-up assessment, psilocybin was associated with enduring antianxiety and antidepressant effects. Approximately 60 percent to 80 percent of participants continued with clinically significant reductions in depression or anxiety, sustained benefits in existential distress and quality of life, as well as improved attitudes toward death.
In the current study, researchers conducted a long-term follow-up of a subset of participants from the original trial, with assessments at about three years and 4.5 years following single-dose psilocybin administration. The study reported on sustained reductions in anxiety, depression, hopelessness, demoralization, and death anxiety at both follow-up points.
Approximately 60 percent to 80 percent of participants met criteria for clinically significant antidepressant or anxiolytic responses at the 4.5-year follow-up. Roughly 71 to 100 percent of patients attributed positive life changes to the psilocybin-assisted therapy experience and rated it among the most personally meaningful and spiritually significant experiences of their lives.
"Adding to evidence dating back as early as the 1950s, our findings strongly suggest that psilocybin therapy is a promising means of improving the emotional, psychological, and spiritual well-being of patients with life-threatening cancer," said Stephen Ross, MD, lead author of the 2016 study and an associate professor of psychiatry in the Department of Psychiatry at NYU Langone Health, in a statement. "This approach has the potential to produce a paradigm shift in the psychological and existential care of patients with cancer, especially those with terminal illness."
An alternative means of treating cancer-related anxiety and depression is urgently needed, says Ross. Close to 40 percent of the global population will be diagnosed with cancer in their lifetime, Ross said, with a third of those individuals developing anxiety, depression, and other forms of distress as a result. These conditions, experts say, are associated with poorer quality of life, increased rates of suicide, and lowered survival rate.
Conventional pharmacologic treatment methods like antidepressants work for less than half of cancer patients and tend to not work any better than placebos. In addition, they have no effect whatsoever on existential distress and death anxiety, which commonly accompany a cancer diagnosis and are linked to a hastened desire for death and increased suicidality, said Ross.
The researchers said psilocybin may provide a useful tool for enhancing the effectiveness of psychotherapy and ultimately relieving these symptoms. Although the precise mechanisms are not fully understood, experts believe that the drug can make the brain more flexible and receptive to new ideas and thought patterns. In addition, previous research indicates that the drug targets a network of the brain, the default mode network, which becomes activated when we engage in self-reflection and mind wandering, and which helps to create our sense of self and sense of coherent narrative identity. In patients with anxiety and depression, this network becomes hyperactive and is associated with rumination, worry, and rigid thinking. Psilocybin appears to acutely shift activity in this network and helps people to take a more broadened perspective on their behaviors and lives.
For the original study, the NYU Langone team provided 29 cancer patients with nine psychotherapy sessions, as well a single dose of either psilocybin or an active placebo, niacin, which can produce a physical flush sensation that mimics a psychedelic drug experience. After seven weeks, all participants swapped treatments and were monitored with clinical outcome measures for anxiety, depression, and existential distress, among other factors.
Although researchers found that the treatment's antianxiety and antidepressant qualities persisted 6.5 months after the intervention, little was known of the drug's effectiveness in the long-term.
"These results may shed light on how the positive effects of a single dose of psilocybin persist for so long," said Gabby Agin-Liebes, PhD candidate, lead investigator, and lead author of the long-term follow-up study, and co-author of the 2016 study. "The drug seems to facilitate a deep, meaningful experience that stays with a person and can fundamentally change his or her mindset and outlook."
Agin-Liebes said that psilocybin does not inherently lead to positive therapeutic effects when used in isolation, and in uncontrolled, recreational settings, and should be taken in a controlled and psychologically safe setting, preferably in conjunction with counseling from trained mental health practitioners or facilitators.
In the future, the investigators plan to expand this research with larger trials in patients from diverse socioeconomic and ethnic groups who have advanced cancer-related psychiatric and existential distress.
"This could profoundly transform the psycho-oncologic care of patients with cancer," said Ross, "and importantly could be used in hospice settings to help terminally ill cancer patients approach death with improved emotional and spiritual wellbeing."
Researchers find ketamine to be effective therapeutic treatment for mental health disorders
'Behavioral psychedelics' need focused research and treatment guidelines, researchers say
Psychedelic experience may lessen trauma of racial injustice
Nurses and doctors reported high levels of distress at height of COVID-19
Integrative insights on nightmares and suicide


The University of Cambridge's DIGIS (Digital Studio for Research in Design, Visualisation and Communication) research group is at the epicentre of the CineMuseSpace network. DIGIS has, over the course of the last two decades, been investigating the intersection of Architecture, Cinema, and Digitality, developing novel modes of investigation, in the belief that the moving image provides us with new perceptual equipment to grasp the complexity of architectural and urban phenomena.
The University of Leicester's Research Centre for Museums and Galleries (RCMG) will work with National Museums Liverpool, the Centre for Chinese Contemporary Art in Manchester and The Art Museum of Nanjing University of the Arts in China to co-produce a series of installations which utilise the CineMuseSpace research to generate new, cross-cultural insights into museums spaces, collections and experiences. Through this work, and using a novel, research-led methodology generated by RCMG, CineMuseSpace seeks to make a significant contribution to on-going research into exhibition development processes, potentials and experiences.
Nanjing University is renowned for its cross-disciplinary study on Chinese space and visual culture. The recently established Communicable Environment Laboratory (CELab) will also provide technical support to the project.
The National University of Singapore team, supported by Dr. Chung's start-up grant from the School of Design and Environment, contributes to the framework and curation of the Eastern component of the moving image archive. By accessing key film repositories in East Asia, they will aid the reassertion of the inextricable link between people, culture and architecture by introducing fresh perspectives and deeper insights into the social and cultural importance of architecture.


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In New England, we're so very very lucky. We have a ton of race options available to us – not only obstacle course racing, but trail and road too.
It means that the job of a race director for scheduling is a tricky one.
One hand – you need to pick a date that has availability for your chosen venue, and all you vendors, thats far enough out that you can get your medals and shirts orders and market properly.
Other hand – you need to be aware of the calendar, and what else is going on.
Once a year, it seems everyone screws that last bit up.
In 2016, if you are looking for a race to do, May 14th has PLENTY of choice.
On a map, thats nuts. This is just in ONE day!
Now, I DO get it – some events have traditionally held their races that weekend.
I get that some venues are ONLY available that weekend.
I'm not trying to call any of these races out – they have their reasons for picking this particular date, I'm sure.
But ultimately, this means they will all have fewer people to pull from. Fewer people available to come to their race. Enthusiasts maybe fitting two events in this weekend with a couple of Sunday race options, but for the vast majority of the New England OCR crowd, one is enough.
Personally, I'm at Ragnar Relay – and after a 48 hour stint in a van, I'm baked and ready to sleep.
We offer a free events calendar, that covers New England OCRs that can be found here.
We have a VERY active events list in our Facebook group, that covers any event the New England Spahtens are at, anywhere. That can be found here.
Where will you be racing on May 14th?
I want to introduce a new spot, here on the New England Spahten blog – one I hope provides useful feedback and ideas to one of my favorite demographic in the OCR world – Race Directors.
Having spent the past year talking to various race directors in the region, and having being an avid OCR racer in the New England region since 2010 – I've seen lots of different things come, go, stick around and change.
I plan on covering everything from marketing tactics, to the race itself – and some of it will be difficult to hear, some of it will be useful information. I would love to see feedback, conversation – even constructive debate from both the racers themselves *and* the race directors.
This week – in our first "Dear Race Director …", we're going to cover a very hot topic. Scheduling.
This weekend, in the New England region, there were no fewer than *six* obstacle course races.
None of them will get the numbers they should have, because ALL of them were not only in competition with each other, but also with the super distance Spartan Race in New Jersey – the closest one of it's kind, and a MUST event for anyone on the path to a Spartan Race tri-fecta medal in 2013.
So – that's six local events *and* the most popular, "must do" race within a days trip of the New England.
Why does this happen? What is the possible explanation for this? We have 52 weekends in a year, why do events end up booking on top of each other like this?
Note – I am not making a comment on the quality of any of these events. Some of them, I wish I could have given my money to and run myself, but due to the scheduling, it's not possible.
So … move venue? There's plenty of them in the region, I've run many of them. The NE Spahten community can surely recommend a few. What would you prefer? A poorly attended race at your first choice of venue, or twice as many people and bump things a week.
No it doesn't, not really. OCR is a growing sport, and the fan base is enthusiastic and persistent. We'll run any and every event out there, even if we have to drive two hours to your little 5k beginner event. From the 5k foam fest with it's inflatable fun, to the 8 hour endurance Polar Bear Challenge in deepest, coldest Vermont. The SAME people ran both in 2013, and are likely signed up again. When you tell us that you're really only looking to attract women, or first timers, or locals all you're really saying is you don't understand what attracts us to the sport.
Yep – I've heard this (or polite variations of it). Doesn't matter. OCR is new, and people will sign up for the ones that looked interesting, or their buddies were going to, or they got a code for, or they signed up for first. If you've double booked yourself, you're shut out already, and have to spend twice the marketing money to get your voice heard.
Of course, the only other likely explanation – and not one that anyone will admit to, is simply "I didn't know". Ignorance is bliss, and if you didn't do your homework, picked the first date you thought was good, or your venue or vendors could make – then you lost out big time.
The information is out there, from national events listings to our own local events listing (http://www.newenglandspahtens.com/events) – there is no reason at all not to know what races are going on locally on any given weekend.
I'm not suggesting for a minute that a double or triple race weekend is the end of the world. Later this year, we'll be running Ruckus in the AM and Panic in the Dark in the evening – rather than this being a disaster of scheduling, it's going to be a pretty awesome day. But neither of them are pushing up against the mighty OCR power that is Spartan Race, and neither of them picked a weekend with almost a 1/2 dozen races going on. Pick your battles.
In the case of this weekend, six events lost out, because anyone who could attend, promote and be a participant in their event was in New Jersey.


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The World's Largest Rabbits
The Flemish Giant is the largest rabbit breed in the world.
Flemish rabbits can reach up to 25 lbs in weight.
Rabbits come in a variety of sizes, weight, color, and body shape. The differences in these qualities vary from breed to breed. Some breeds have a slightly larger body size than the normal average size of a rabbit. Some of the largest breeds of rabbit are as discussed below.
10. Silver Fox - 12 lb
The silver fox rabbit is mostly known for its unique fur. They are large rabbits who have a mass of around 12 lbs on average. The females are generally heavier than the males. Mature bucks weigh 9-11 pounds and mature does 10-12 pounds averagely. Checkered Giant and Champagne Breeds are believed to have been used to come up with the silver fox. The furs usually measure around 1 ½ inches on average. The silver fox breed of rabbit got its name due to its fur which has a close resemblance with the fur of the silver fox. They are known to be friendly and to enjoy large bouts of attention.
9. Giant Papillon - 12 lb
A mature giant papillon breed usually has an average mass of approximately 12 lb. They are mostly used as show animals and as pets. The breed usually has white fur, with patches in either grey, black, chocolate, or blue on its sides. The patches above the nose are mostly butterfly-shaped. This rabbit has a muscular and a slender body stature. The back of these rabbits is usually straight and long. They have strong and well-rounded limbs and hindquarters. The ears are wide and upright. They are wide-headed. They have short, soft and dense fur. The ears and the areas around the eyes are usually dull colored. These rabbits are friendly. However, they get temperamental and aggressive when handled incorrectly.
8. Checkered Giant - 12 lb
The checkered giant is another rabbit breed considered to be one of the world's largest. The average weight of a matured Checkered Giant rabbit breed is 12 lbs. They have a semi-arched or the mandolin type of body shape. They are slender yet muscular. They are wide-headed and have got powerful and masculine limbs. They usually have short fur, white in color with black patches. The ears of this breed are usually upright and broad.
7. Altex - 13 lb
The name "Altex" was derived from Alabama and Texas, where the Altex breed traces its origin. This breed of rabbit weighs 13 lb on average. The weight and size usually average the same in both sexes. The breed is obtained from cross-breeding of Flemish Giant, Californian, and Argente de Chamagne breeds. The New Zealand breed was later introduced to the cross breeding. They are normally white in color. The female usually has grey patches at the tip of the ears and at the tip of the tail. The ears are usually upright. The fur of the Altex breed is usually soft and short.
6. British Giant - 13 lb
The British giant weighs around 13 lb on average. They are mostly found in the United Kingdom. The British Giant has a large body, which is normally flat across the back and has wide front and hindquarters. They come in different colors. The fur of this breed is usually medium length, dense and soft. They have a patient and calm personality. For this personality trait, they are kept as pets. The British giant is a breed of the Flemish giant.
5. Hungarian Giant - 15 lb
This breed was obtained from the cross-breeding of assorted rabbits and other wild rabbits. Matured Hungarian rabbits normally have an average mass of 15 lb. The ears of this breed are upright and are usually dark on the outside, with a lighter shade on the inside. The fur of the Hungarian breed is usually short, soft and dense. They come in various assorted colors. They are mainly kept for their meat.
4. Spanish Giant - 15 lb
Spanish giant rabbit weighs around 15 lb. The Spanish giant was obtained through the cross-breeding of the Flemish Giant and two Spanish breeds: the Lebrel Espanol and the Belier. The Spanish breed has short, soft, and very dense fur. The Spanish giant has long, broad and upright ears.
3. Blanc de Bouscat - 15 lb
Blanc de Bouscat is a rabbit that has its origin in France. They are unheard of in most parts of the world. They were discovered and domesticated for the first time in 1906. They are normally white in color with upright ears. They usually have short yet dense fur. They are normally calm, friendly and easy to train. They are mostly kept as pets because of their personality and because of their coloration.
2. Continental Giant - 16 lb
The continental giants are also commonly referred to as the German Giant. They are also descendants of the Flemish giants. They come in a variety of colors. The length of the ears is approximately 25% of the total body length. The hindquarters of this breed are well muscled. The fur is dense and grows up to around 4 cm. The lifespan of the continental giant is usually 4 to 5 years on average. The continental giants are usually curious, calm and very friendly. They are not only friendly to humans, but also to other animals such as cats.
1. Flemish Giant - 25 lb
The Flemish giant is the largest breed of rabbit. Its average weight is usually 25 lb. Due to its patience and calm nature while being handled, many people keep the Flemish giant as a pet. The breed has fluffy and a glossy fur. The back of the the Flemish giant is usually arched from the shoulder all the way to the tail. Bucks have a broad, larger head compared to the does. To reach the maximum weight and body size, does usually take around 1 year whereas the bucks usually take up to one and a half years. However, both sexes are usually sexually mature at around 4 ½ months.
What is the Largest Rabbit Breed in the World?
The Flemish giant is the largest breed of rabbit. Its average weight is usually 25 lb. Due to its patience and calm nature while being handled, many people keep the Flemish giant as a pet. The breed has fluffy and a glossy fur.
John Misachi
John Misachi is a seasoned writer with 5+ years of experience. His favorite topics include finance, history, geography, agriculture, legal, and sports.
By John Misachi
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